| NPI | 1326648882 | 
|---|---|
| Former Legal Business Name | RE-NEW INSTITUTE LLC | 
| Entity Type | Organization | 
| Authorized Contact | MELISSA LOSEKE ABLETT President 402-905-0630  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261Q00000X Clinic/Center | 
| Enumeration Date | 2020-10-26 | 
| Last Update Date | 2020-10-26 |